Greater Waterbury Retina, LLC
Organization Active NPI Ophthalmology Physician · Prospect, CT
NPI 1164516068 · NPPES record last updated Jun 19, 2013
Key facts
- NPI
- 1164516068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- GREATER WATERBURY RETINA, LLC
- Practice address
- 166 Waterbury Rd
Suite 201
Prospect, CT 06712-1200 - Phone
- (203) 758-5733
- Fax
- (203) 758-7400
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Neal Jason Zimmerman, M.D.
- Title
- President
- Phone
- (203) 758-5733
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
166 Waterbury Rd
Suite 201
Prospect, CT 06712-1200
Mailing address
166 Waterbury Rd
Suite 201
Prospect, CT 06712-1200
Phone (203) 758-5733
Other providers in Prospect, CT
- Tonya Goodman
- Daniel Griswold Gordon
- Alexa Gorman
- Lisa Grabowski
- Greater Waterbury Primary Care Assoc
- Deborah Grove
- Robert Steven Guynn
- George J Hajjar
- Gary Arthur Higgins
- Jeffrey Hoerst
All providers in Prospect, CT · Ophthalmology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.